Shenjing Shuairuo and the DSM-IV: DiagnosiS, Distress, and Disability in a Chinese Primary Care Setting

Doris F. Chang, Hector F. Myers, Albert Yeung, Yalin Zhang, Jingping Zhao, Shunying yu

Research output: Contribution to journalArticle

Abstract

This study examines diagnostic concordance, symptomatology and disability among Chinese patients with shenjing shuairuo, ICD-10 neurasthenia, and DSM-IV diagnoses. Patients (N = 139) with unexplained somatic complaints completed the Structured Clinical Interview for DSM-III (SCID), the Brief Symptom Inventory (BSI), and the Short Form 36 (SF-36). Shenjing shuairuo could be reclassified as DSM-IV undifferentiated somatoform disorder (30.6%) and somatoform pain disorder (22.4%); however, 44.9% did not qualify for a core DSM-IV diagnosis. Concordance of neurasthenia and shenjing shuairuo was significant (p <.001). Symptom distress and disability was similar to that reported by patients with somato-form and anxiety disorders. Within the Chinese context, shenjing shuairuo describes a heterogeneous group with clinically significant levels of disturbance and disability.

Original languageEnglish (US)
Pages (from-to)204-218
Number of pages15
Journaltranscultural psychiatry
Volume42
Issue number2
DOIs
StatePublished - Jun 2005

Keywords

  • diagnosis
  • neurasthenia
  • neurosis
  • somatoform disorders

ASJC Scopus subject areas

  • Health(social science)
  • Psychiatry and Mental health

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